Hill Miranda, Huff Amber, Chumbler Neale
University of Georgia, Athens, Georgia, USA.
University of Sussex, Brighton, United Kingdom.
Glob Qual Nurs Res. 2019 Apr 30;6:2333393619834937. doi: 10.1177/2333393619834937. eCollection 2019 Jan-Dec.
Internal psychological states and coping processes are significant determinants of resilience. The primary aim of this qualitative work is to provide further insight into how core affect influences the adaptability of persons living with HIV (PLWH) after diagnosis. In-depth interviews were conducted with a diverse group of PLWH in a health district located in the Southeastern United States. A deductive-inductive approach was taken while coding and analyzing, = 18 participant narratives concerning the psychological and coping processes surrounding diagnosis and engagement in care. Active behavioral and cognitive coping after diagnosis was exhibited by PLWH expressing salient attributes of positive affect, whereas the salience of negative affect among PLWH was associated with avoidant coping and heightened distress. Our findings illuminate the beneficial role of positive affect and active coping on the health and well-being of PLWH. The study implications extend to the development and enhancement of programs designed to fortify psychological resilience.
内心心理状态和应对过程是恢复力的重要决定因素。这项定性研究的主要目的是进一步深入了解核心情感如何影响艾滋病毒感染者（PLWH）确诊后的适应能力。在美国东南部一个卫生区，对不同的艾滋病毒感染者群体进行了深入访谈。在编码和分析时采用了演绎-归纳法，共18名参与者讲述了围绕诊断和参与护理的心理及应对过程。艾滋病毒感染者在确诊后表现出积极的行为和认知应对方式，表现出积极情感的显著特征，而艾滋病毒感染者中消极情感的显著特征与回避应对和更高的痛苦程度相关。我们的研究结果揭示了积极情感和积极应对对艾滋病毒感染者健康和福祉的有益作用。该研究的意义延伸到旨在增强心理恢复力的项目的开发和完善。
